Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00261018 Unannounced Monitoring 12/20/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)The bedroom floor has a sticky substance and has not been mopped.Clean and sanitary conditions shall be maintained in the home. On 12/21/2024, the bedroom floor was unclean. The residential manager and staff mopped the floor, making it clean and sanitary. 12/21/2024 Implemented
6400.66There was no light in the bedroom for individual #2.Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. 12/21/2024: The agency's maintenance team installed light in the individual's #2 bedroom to ensure his safety and avoid any potential accidents. In the future, the Site Manager, House Lead, and Maintenance Personnel will conduct checks to ensure that all appliances, including lights, are adequate in the home and individual #2's bedroom, ensuring full compliance with ODP regulations. 12/21/2024 Implemented
6400.68(b)The water temperature in the bathroom was at 129 degrees Fahrenheit. Hot water temperatures in bathtubs and showers may not exceed 120°F. On December 30, 2024, the COO of Halia and the maintenance personnel at the apartment complex adjusted the water temperature in the bathtubs and kitchen areas to a compliant level of 120°F. Staff will continue to assist residents in regulating the water temperature as needed. 12/30/2024 Implemented
6400.110(a)The smoke detector did not work. A home shall have a minimum of one operable automatic smoke detector on each floor, including the basement and attic. On January 5, 2025, the COO of Halia supervised the maintenance personnel at the apartment complex to address the issue with the smoke detector, and it is now in working condition. 01/05/2025 Implemented
6400.32(i)Clothes for individual #2 were locked in another room. The individual's behavior support plan does not contain a restrictive component to include restricted access to clothing.An individual has the right of access to and security of the individual's possessions.Through the agency's residential manager, the clothes of Individual #2 were returned to his bedroom. It is important to note that keeping individual #2's clothes in another bedroom was not intended to restrict access to them; rather, it was done to give the individual more space to safely and orderly store individual #2's clothes. 12/20/2024 Implemented
6400.32(n)There was no evidence of the right to be free from abuse form, provided by the supports coordinator, being retained and accessible at the home for individual #2. This form provides individual specific non-agency team contact information for individuals to contact someone if they feel they are being mistreated.An individual has the right to unrestricted and private access to telecommunications.Some support coordinators regrettably failed to provide individuals with information about their right to be free from abuse. To address this concern, on December 28, 2024, we produced multiple copies of the relevant materials, completed them, and displayed them prominently in all of our homes for easy access by those in our care. These materials include specific non-agency team contact details, enabling individuals to seek help if they feel mistreated. 12/28/2024 Implemented
6400.163(a)Erythromycin eye ointment prescribed for individual #2 was not in the original prescription container and there was no prescription label.Prescription and nonprescription medications shall be kept in their original labeled containers. Prescription medications shall be labeled with a label issued by a pharmacy.On December 21, 2024, our agency nurse, under the supervision of the Chief Operations Officer (COO), ordered Erythromycin eye ointment, ensuring it was in its original prescription container. 12/21/2024 Implemented
6400.182(c)The individual plan (ISP) has not been updated to reflect Individual #2's current behavioral support plan. The individual has a non-restrictive behavior support plan dated 8/31/24. A copy of the plan was provided by the provider. However, the ISP lists an old plan that includes details of a token economy, which would be a restrictive intervention.The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment.The program specialist at Halia printed an updated ISP for individual #2. 12/21/2024 Implemented
6400.192There were no written restrictive procedures or policy for the locking of individual #2's clothing in second unused bedroom. The staff on duty were unaware when questioned that this was a restrictive procedure.The home shall develop and implement a written policy that defines the prohibition or use of specific types of restrictive procedures, describes the circumstances in which restrictive procedures may be used, the staff persons who may authorize the use of restrictive procedures and a mechanism to monitor and control the use of restrictive procedures.The current situation regarding the procedures for locking Individual #2's clothing in the second bedroom indicates that such measures are unnecessary. The individual has exclusive access to his clothing without any interruptions. However, staff will proceed with transferring Individual #2's clothes to his bedroom. The team has decided not to impose any restrictions on access for the individual currently. 06/20/2025 Implemented
SIN-00240820 Renewal 03/14/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(13)For individual 1 - the allergies section of the January 2024 physical is blank.The physical examination shall include: Allergies or contraindicated medications.On April 1, 2024, the agency's nurse rectified an oversight by addressing the blank allergies section in the January 2024 physical for Individual 1. 04/01/2024 Implemented
6400.181(c)For individual 1 - the 2022 and 2023 assessments appear to be identical in their contents.The assessment shall be based on assessment instruments, interviews, progress notes and observations. On March 27, 2023, the Chief Operating Officer (COO) conducted an orientation for the Program Specialist (PS) and identified similarities in both annual assessments. 03/27/2024 Implemented
6400.181(e)(3)(i)For individual 1 - the assessment does not speak to the individual's progress in areas that support is needed (for example, the reported desire/objective to become self-medicating).The assessment must include the following information: The individual's current level of performance and progress in the following areas: Acquisition of functional skills. On March 27, 2023, the Chief Operating Officer (COO) oriented the Program Specialist (PS) to ensure that assessments reflect the individual's progress in areas where support is needed. 03/27/2024 Implemented
6400.181(e)(12)For individual 1 - the assessment does not provide any details regarding recommendations for areas of training, programming, or services.The assessment must include the following information: Recommendations for specific areas of training, programming and services. On March 27, 2023, the Chief Operating Officer (COO) oriented the Program Specialist (PS) to ensure that assessments provide detailed recommendations for areas of training, programming, or services. 03/27/2024 Implemented
6400.32(r)The individual rights form does not include stipulation about the consumer's right to have a lock on their door.An individual has the right to lock the individual's bedroom door.The bedrooms lack the proper door locks per regulation 55 PA Code Chapter 6400.32(r) regarding an individual's right to lock their bedroom door. In compliance with this regulation, Halia's maintenance team addressed these issues on March 28, 2024, by installing the proper door locks on all bedroom doors, granting individuals the right to secure their private spaces. 04/01/2024 Implemented
6400.186For individual 1 - the provided documentation (ISP, monthly progress notes, assessment) all indicate that the individual continues to present challenging behaviors. Such behaviors were identified for treatment in the BSP included in his file. The BSP treatment plan date ended 5/13/23, which is outdated based on included data, and requires renewal to enact his plan and meet his needs as dictated.The home shall implement the individual plan, including revisions.On March 27, 2023, the Chief Operating Officer (COO) oriented the Program Specialist (PS) to ensure that the Behavioral Support Plan (BSP) treatment plan, which ended on May 13, 2023, has been updated by the behavioral specialist to ensure its renewal and alignment with the individual's needs as prescribed. 03/27/2024 Implemented
SIN-00203139 Renewal 03/14/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(a)Individual #1 October 2021 assessment indicates poisons must be kept locked up in his home. A large bottle of dish detergent was found in an unlocked cabinet under the kitchen sink.Poisonous materials shall be kept locked or made inaccessible to individuals. 6400.62(a)/On 03/18/2022, HALIA's Residential Manager and Administrator/Trainer in-serviced all employees on staff on how to store away food items and separate them from chemical substances. Moreover, when we discovered non-compliance on the inspection day, the COO removed the food items from under the kitchen. 03/18/2022 Implemented
6400.66The door leading out to the apartment's porch has no light above it.Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. Regarding 6400.66, on 6/27/2022, HALIA's COO instructed our maintenance team to install additional lights at the front patio exit and vacant bedroom to assure safety and avoid accidents. As instructed, our maintenance team installed lights at the front patio exit and vacant bedroom on 6/27/2022. 06/27/2022 Implemented
6400.77(b)The property's first aid kit did not have scissors. A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. Chapter (6400.77(b) missing scissors in first aid kit. On 3/18/2022, Halia management, through the COO, purchased scissors and placed them in the first aid kit. In addition, the COO ensures that all homes' first aid kits have all of the required items, including scissors. 03/18/2022 Implemented
6400.166(a)(11)Individual #1 March 2022 MAR does not list the diagnoses or reasons for all medications listed on it. The entry for their Ventolin HFA 90 MCG inhaler indicates it is to be taken as needed for shortness of breath or wheezing, but the other medications listed do not list their reasons or diagnoses.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Diagnosis or purpose for the medication, including pro re nata.6400.166(a)(11), the MAR did not list diagnosis for medication. On 4/2/22, HALIA's Administrator reached out to the pharmacy to list all diagnoses for the medications on the MARs. 04/02/2022 Implemented
SIN-00155968 Renewal 05/14/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.83(a)The Kitchen had insufficient equipment for cooking and serving food, could only locate two dishes for individual, no cups, and 2 mugs. A home shall have a kitchen area with a refrigerator, sink, cooking equipment and cabinets for storage. 29. On 5/17/2019, Halia completed purchased and supplied adequate matching utensils, cooking equipment, cups and plates to all the homes guaranteeing provisions sufficient to assist all individuals in eating comfortably in their home. To prevent a re-occurrence of this violation, Halia's CEO will continue to oversee all apartments to ensure that adequate provisions are available for use at all times. Attachment#17 07/04/2019 Implemented